| NPI | 1023225448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35-092422) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 57.011795) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2010-06-16 |